[104-10222-10042.pdf — page 185]
# AT.ICATION FOR FEDERAL EMPLOYME...STANDARD FORM 57-NOV 1947US CIVIL SERVICE COMMISSIONINSTRUCTIONS In ceder to prevent delay in romenlerations of your appli. cata, ariswer every queen in the from clearly and completely. Type write or print in INK. In applying for a specific United Brates Civil Service esamination, read the eminetirmannminrement carefully and follow all diverthrone if you are applying for a WRITTEN examination, follow the onstructions on the admis card regarding disposition of this application. If you are applying for an UNWRITTEN examination, mail this application to the office named in the annonsewoment Be sure to nail to the same office any other for me required try the entirement. Notify the office with which you file thie application of any change in youst Adrese306603APPLICATION HOU180ANNOUNCEMENT1 NAME OF EXAMINATOR KIND OF PUSITION APPLIED FORStatilicet DriftsmanA OPTION(S)(if mentioned in esamination announcement)3 PLACE OF EMPLOYMENT APPLIED FOR (City and State) 4. DATE OF THIS APPLICATIONWashinaten D.CFeb. 16 1950(First name)(Middle)(Marden, if any)(Last)M133 Charlotte Louise ZehrungLA) STREET AND NUMBER CHRA D. NUMBERSan Rec Gardens(8) CITY OR PUST LOPKA (Including postal sone) AND STATEDayton 9 Ohic7 LEGAL OR/VOTING (State) (A) OFFICE PHONE DI HOME PHOROhio8 DATE OF BIRTH (month, day, year)January 12 192911 PLACE OF DIRTH (nity and State; il born outside US. name city and country)Dayton Ohio12MAI13 (A) HEIGHT WITHOUT SHOES:5... FEET..8.. INCHES13 (8) WEIGHT:132 POUNDS14 (A) HAVE YOU EVER DEEN EMPLOYED BY THE FEDEMAL GOVERNMENTYES NO(BO IF 50. GIVE LAST GRADE AND DATE OF LAST CHANGE IN GRADE15. (A) WHAT 19 THE LOWEST ENTRANCE SALARY YOU WILL ACCEPTIPER YEAR.You will not be considered tus any position with a lower entrance salary(B) CHECK IF YOU WILL ACCEPT SHORT TERM APPOINTMENT IF OFFERED, FORTO & MONTHS 1 TO 3 MONTHS & TO 12 MONTHSNOTK. Acceptance of refusal of a temporary short-term paintment will not affect your opportunity to obtain a probational appointment(C) IF YOU ARE WILLING TO TRAVEL BYOCCASIONALLY PEOPHILE CONSTANTLY16. EXPERIENCE It is important for yours to furnish all information requested bekne in quiboent deted to ruote the Civil Service Commissiog and the appointing officers of agencime to give you full credit in determining your quelifications. Use a separate Etomic fue cach position. Start with your present position and wur's bor's, angiasing clearly the principal tasks which you performed in each proton, accounting for all penoxds of unemployment. Experience gained more than 15 years ago which is not pertinent to the work for whuh you are appiying may be cerized in one or more of the blocks. If your dutica changed maternally whit working for the same employes, use a separate blixis to describe earth poerve. You may include any pertinent reimpous, tvie, welfare, or organizativa ativity which you have performed, either sich in witliout commpensation, slowing the number of hours per week and weaks are yeer in which yins were engaged in such activity, Military experience should be deribed in the spaces below in ste proyes erquence,(a) If you wrid ever chiployed in any position under a herme different from that shown in ftein 5 of this application, pre under "Description of your work" for carh position, the name o(6) If you have never bera emperyot of are wow unemployed, indicate that fact in the space provided below foe "Present Postion."DO NOT WRITE IN THIS BLOCKFor Use of Civil Service Commission OnlyMATERIALAPPORNON APPORSUBMITTEDRETURNEDNOTATIONSENTERED ASAPP. REVIEWAPPROVED:OPTION GRADE RATING EARNED PREFER AUGM.ENCE RATING631232237 POINTS(TENT)// 2 94 10POINTSWIPEORWIDOWDISALDRINGINVESTIGATEDINITIALS ANDDATE5.18.50(D) CHECK IF YOU WILL ACCEPT AFFOINTMENT, IF OFFERED:IN WASHING FOR, D. C.OUTSIDE THE UNITED STATESANYWHERE IN THE UNITED STATES(2) IF YOU WILL ACCEPT APPOINTMENT IN CEPTAIN LOCATIONS ONLY. GIVE ACCEPTADLE LOCATIONSPRESENT POSITION| DATES OF EMPLOYMENT (month, year)           | EXACT TIILE OF YOUR PRESENT POSITION                                                                                             | CLASSIFICATION GRADE OF in Federal Service)                                                        | SALARY CR EARNINGS. STARTING. B PER |     || ------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------- | ----------------------------------- | --- || FROM                                        | TO PISHT TIME                                                                                                                    | NAME AND TITLE OF IMMEDIATE SUPERIOR                                                               | FRESENT, $ PER                      |     || PLACE OF EMPLOYMENT (orty and State)        | NAME AND ACORESS OF EMPLOTER (Aem, organization, or person, il Federal, name department, bisseau ur establishment, and divisiюп) | KING OF DUSINESS OFH CRGANIZATION (4, wholesale silk, unsurance agency, manufacture of lunas, ato) |                                     |     || AUMDER AND KIND OF EMPLOYEES PLAISED BY YOU | OLSCASPTION OF YOUR WORK                                                                                                         | REAGON FOR DESIRING TO CHANGE EMPLOYE                                                              |                                     |     |(CONTINUED ON NEXT PARFI